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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - Study
Errors in thyroid gland fine-needle aspiration.
Citation Text:
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
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psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
June 14, 2011 - Study
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.
Citation Text:
Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
March 02, 2011 - Commentary
COVID-19 and patient safety- lessons from 2 efforts to keep people safe.
Citation Text:
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - Review
The checklist--a tool for error management and performance improvement.
Citation Text:
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
December 01, 2010 - Commentary
Researchers' roles in patient safety improvement.
Citation Text:
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Study
Framing of clinical information affects physicians' diagnostic accuracy.
Citation Text:
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
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psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
February 10, 2015 - Meeting/Conference
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
Citation Text:
Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/are-agency-healthcare-research-and-quality-obstetric-trauma-indicators-valid-measures
April 30, 2014 - Study
Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety?
Citation Text:
Grobman WA, Feinglass J, Murthy S. Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety? Am…
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psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
June 08, 2022 - Newspaper/Magazine Article
Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.
Citation Text:
Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
October 22, 2008 - Review
Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings.
Citation Text:
Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …
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psnet.ahrq.gov/issue/nhs-sticking-fingers-its-ears-humming-loudly
January 01, 2000 - Study
The NHS: sticking fingers in its ears, humming loudly.
Citation Text:
Pope R. The NHS: Sticking Fingers in Its Ears, Humming Loudly. J Bus Ethics. 2015;145(3):577-598. doi:10.1007/s10551-015-2861-4.
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psnet.ahrq.gov/issue/citation-classics-patient-safety-research-invitation-contribute-online-bibliography
January 19, 2011 - Study
Citation classics in patient safety research: an invitation to contribute to an online bibliography.
Citation Text:
Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care. 2006;1…
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - Book/Report
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0.
Citation Text:
NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…
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psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
July 08, 2020 - Study
Medication administration errors by nurses: adherence to guidelines.
Citation Text:
Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x.
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psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
May 26, 2021 - Commentary
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Citation Text:
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
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psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
December 19, 2018 - Review
How can the criminal law support the provision of quality in healthcare?
Citation Text:
Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688.
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psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
April 23, 2014 - Study
Prioritizing threats to patient safety in rural primary care.
Citation Text:
Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8.
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